ʻEha pū kekahi kou kua? E aʻo kākou e pili ana i kēia ʻeha kua ʻē (Vertebrogenic Low Back Pain)?

ʻO kekahi o nā pilikia nui i loaʻa i nā kānaka he nui i kēia mau lā, ʻo ia ka ʻeha o ke kua. I kekahi manawa, manaʻo paha ʻoe ʻaʻole kēia he mea āu e hopohopo ai, akā aia kekahi mau ʻano ʻeha o ke kua i ʻano kūikawā iki, ʻo ia hoʻi, ʻokoʻa mai nā ʻeha maʻamau o ke kua. No laila, i kēia lā e kamaʻilio mākou e pili ana i kekahi ʻano ʻeha kūikawā o ke kua. ʻO ka ʻike pono ʻana i kēia e kōkua nui iā ʻoe.

He aha kēia mea i kapa ʻia ʻo Vertebrogenic Low Back Pain?

I ka ʻōlelo maʻalahi, ʻo ka Vertebrogenic Low Back Pain ka mea i hōʻino ʻia i nā vertebral endplates i kou iwi kuamoʻo. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia mau vertebral endplates.

E noʻonoʻo, ua hana ʻia kou iwi kuamoʻo me nā iwi liʻiliʻi i hoʻopaʻa ʻia ma luna o kekahi, a mākou e kapa nei he vertebrae. Ke loaʻa kekahi vertebra ma luna o kekahi, aia kekahi mea e like me ka moena ma waena, a mākou e kapa nei he disc intervertebral , a i ʻole he disc wale nō. ʻO kēia disc ka mea e ʻae ai i ka iwi kuamoʻo e kūlou i mua a i mua, a hoʻopili pū ia i nā haʻalulu e hiki mai ana i ke kua i ka wā e lele ai a holo ai. Ma waena o kēlā vertebra a me ka disc, aia ʻelua mau membrane lahilahi e like me ka uhi pale, i kapa ʻia ʻo nā vertebral endplates . No laila, inā ua hōʻino ʻia kēia mau mea ma kekahi ʻano, ʻo ia kahi e hoʻomaka ai kēia ʻeha hope.

No ke aha i ʻokoʻa ai kēia mai nā ʻeha kua ʻē aʻe?

ʻAe, he ʻano ʻokoʻa iki kēia. ʻO ka maʻamau ke noʻonoʻo mākou i ka ʻeha hope, noʻonoʻo mākou i kahi mea i hana ʻia ma muli o kahi ʻeha a i ʻole kekahi mea e like me ka arthritis. Akā ʻo ke kumu nui o kēia ʻeha hope (Vertebrogenic) ʻo ia ka hōʻino ʻia o nā vertebral endplates a mākou i kamaʻilio ai ma mua.

I ka wā ma mua, ua manaʻo pinepine nā kauka ʻo ke kumu o ka ʻeha hope mau ka maʻi disc degenerative a i ʻole ka arthritis. Akā ma hope mai, ua ʻike nā kānaka noiʻi aia nā aʻalolo i loko o ko kākou vertebrae e ʻike ana i ka ʻeha, a i ka wā e hoʻonāukiuki ʻia ai, hiki ke loaʻa ka ʻeha. Me kēlā ʻike ʻana, ua maopopo he mau kumu ʻē aʻe paha o ka ʻeha hope. ʻO ia hoʻi, ʻaʻole nā ​​ʻeha hope a pau i hana ʻia e ka maʻi disc degenerative a i ʻole ka arthritis.

Pehea ka maʻamau o kēia ʻano?

ʻO kaʻoiaʻiʻo, he paʻakikī ke ʻōlelo pololei i ka nui o ka poʻe i loaʻa i kēia ʻeha hope (vertebrogenic). Ua ʻōlelo ʻia he ʻoi aku ma mua o 30 miliona mau kānaka ma kahi ʻāina e like me ʻAmelika e loaʻa ana kekahi ʻano ʻeha hope mau. Eia naʻe, ʻaʻole maopopo ka nui o lākou i loaʻa i kēia kūlana (vertebrogenic). ʻO kēia no ka mea hiki i nā kauka ke loaʻa ke kumu pololei o kahi 20% o ka ʻeha hope. ʻO ke koena 80% ua hoʻokaʻawale ʻia he ʻeha hope ʻaʻole kikoʻī .

He aha nā hōʻailona o kēia?

ʻO ka poʻe me kēia ʻeha kua (vertebrogenic) e wehewehe pinepine i kahi ʻeha ʻā a ʻūlū hoʻi i waenakonu o ko lākou kua. Manaʻo ia he ʻeha hohonu a pana. No kekahi poʻe, ʻo kēia ʻeha he ʻeha i kapa ʻia . ʻO ia hoʻi, ua ʻike ʻia ka ʻeha ma kahi ʻokoʻa ma mua o kahi i hoʻomaka ai.

I ka manawa pinepine e hoʻonui ʻia kēia ʻeha:

• Ke noho ʻoe ma kahi hoʻokahi no ka manawa lōʻihi.
• Ke hana kino ʻoe .
• Ke kūlou ʻoe i mua .

Ua like loa kēia mau hōʻailona me nā hōʻailona o ka maʻi disc degenerative a hiki i ke kauka ke kuhihewa i kekahi no kekahi. Eia kekahi, hiki i kekahi poʻe ke loaʻa i nā maʻi ʻelua i ka manawa like .

Nā hiʻohiʻona ʻē aʻe e hele mai me nā pilikia disk

Inā ua hōʻino ʻia nā papa hope o ka vertebral ma kou kua haʻahaʻa a loaʻa iā ʻoe kahi disc degenerated, hiki iā ʻoe ke ʻike i nā hōʻailona hou aʻe. I kēlā mau hihia:

• Hiki paha iā ʻoe ke ʻike i ke kani ʻana ma kou mau lālā.
• He ʻōpū kekahi mau wahi.
• Ka nāwaliwali o nā lālā.

Hiki mai kēia mau hōʻailona no ka mea hiki i ka disc ke herniate a hoʻopilikia i nā aʻalolo kokoke. ʻAʻole hiki mau kēia, akā hiki ke hana.

He aha ke kumu o kēia?

E like me kā mākou i ʻōlelo ai ma mua, ʻo ke kumu nui o kēia ʻeha hope (vertebral) ʻo ia ka hōʻino ʻia ʻana o nā vertebral endplates. No laila, he nui nā kumu no ka hōʻino ʻia ʻana o kēia mau endplates:

• ʻO ke komo ʻana a me ka haehae o kēlā me kēia lā: Ua like ia me ke komo ʻana a me ka haehae āu e loaʻa ai mai ka hoʻohana ʻana i kahi mīkini.
• Momona: Ke piʻi aʻe ke kaumaha o ke kino, pono nō hoʻi ka iwi kuamoʻo e halihali i kēlā kaumaha.
• Hoʻonui ʻia ke kiʻekiʻe: Hiki i nā poʻe kiʻekiʻe ke ʻike i kahi kaomi hou aʻe ma ko lākou kua.
• Nā hana koi kino: ʻO ka poʻe e hāpai ana i nā mea kaumaha, kū no ka manawa lōʻihi, a hana ma ke kūlana like, ʻoi aku ka nui o ka pilikia.
• Inā loaʻa i kekahi o ka ʻohana kahi moʻolelo o nā ʻeha poʻo mau (Mōʻaukala ʻohana): Aia paha kekahi mana hoʻoilina.
• Puhipaka: Hiki i ka puhipaka ke hoʻopilikia i nā kīʻaha koko i loko o ke kino a hōʻemi i ka nui o ke koko e hiki ana i kēia mau wahi.
• ʻEha a hāʻule paha: Hiki i ka hopena nui a koke ke hōʻino i kēia mau wahi.

Pehea e ʻike ai ke kauka i kēia?

Ke hele ʻoe e ʻike i ke kauka me ka ʻeha kua, ʻo ka mea mua āna e hana ai, ʻo ia ke nānā pono iā ʻoe i ke kino.ʻEkahi. E hoʻopā lākou i kou kua, e noi iā ʻoe e kūlou a wili i nā ʻaoʻao like ʻole e ʻike i nā kūlana ʻeha loa. E nīnau pū lākou iā ʻoe e pili ana i kāu mau hōʻailona a inā paha ua loaʻa i kekahi o kou ʻohana nā pilikia kua e like me kēia.

A laila, inā manaʻo kāu kauka he hewa kekahi mea me kou kua, e kauoha paha ʻo ia i nā hoʻokolohua kiʻi . ʻO ka mea mua e hana mau ʻia no ka ʻeha o ke kua , ʻo ia ka X-ray o kou kua . Ma muli o ka ʻike i loaʻa, pono paha ke kauka i ka ʻike hou aku. Inā pēlā, hiki iā ia ke kauoha i kahi CT scan (Computed Tomography scan) a i ʻole kahi MRI scan (Magnetic Resonance Imaging scan) . Hiki i nā MRI scans ke hōʻike pinepine i nā hōʻailona o ka mumū o ka iwi iwi a me nā loli a i ʻole ka hōʻino ʻana i nā vertebral endplates.

He aha nā lāʻau lapaʻau?

ʻO ka nūhou maikaʻi, aia kekahi mau lāʻau lapaʻau no kēia ʻeha hope (vertebrogenic). Hiki i ke kauka ke kōkua iā ʻoe e koho i ka lāʻau lapaʻau kūpono loa iā ʻoe.

• Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs): ʻO kēia nā lāʻau a mākou e lawe mau ai no ka ʻeha a me ka pehu. ʻO nā laʻana e like me ka aspirin, ibuprofen, a me ka naproxen. Pono e hoʻohana ʻia kēia mau mea e like me ke kuhikuhi a kāu kauka.
• Hoʻōla kino: He lāʻau lapaʻau koʻikoʻi nō hoʻi kēia. E aʻo aku kahi mea hoʻōla kino iā ʻoe i nā hoʻomaʻamaʻa kūikawā a me nā hoʻolōʻihi e hoʻoikaika ai i kou kua a hōʻemi i ka ʻeha. Inā ʻoe e hana pololei i kēia mau mea, e loaʻa iā ʻoe ka hōʻoluʻolu nui.
• Nā mea hoʻomaha ʻiʻo: I kekahi mau hihia, inā paʻa nā ʻiʻo a puni kou iwi kuamoʻo, hiki ke hāʻawi ʻia kēia ʻano lāʻau lapaʻau e hoʻomaha iā lākou. Eia nō naʻe, no ka mea hiki iā lākou ke hoʻohiamoe iā ʻoe a hiki ke lilo i mea hoʻopili inā hoʻohana mau ʻia, ʻo ka maʻamau, kuhikuhi wale nā ​​​​kauka iā lākou no kahi manawa pōkole.
• Ke kaʻina hana Intracept® (basivertebral nerve ablation): Manaʻo ʻoe ua hoʻāʻo ʻoe i nā lāʻau ʻē aʻe (e like me ka lomilomi, ka hoʻōla kino) no ʻeono mahina a ʻaʻole e hoʻomaikaʻi ana kou ʻeha hope. I kēlā hihia, hiki i ke kauka ke kuhikuhi i kahi kaʻina hana kūikawā i kapa ʻia ʻo Intracept®. Pili kēia i ka hoʻohana ʻana i kahi mea hana maikaʻi loa e hoʻopili i ka wela i ke aʻalolo lawe ʻeha nui (basivertebral nerve) i loko o ka vertebra. Hoʻōki kēia i nā hōʻailona ʻeha mai kēlā aʻalolo mai ka hele ʻana i ka lolo, e hōʻemi ana i ka manaʻo o ka ʻeha.

He mea nui: Pono e hana ʻia kēia mau lāʻau lapaʻau a pau ma lalo o ke aʻo a me ka nānā ʻana a ke kauka. Mai lawe i kekahi lāʻau lapaʻau a i ʻole e hoʻoikaika kino iā ʻoe iho.

Pehea ka lōʻihi e hoʻōla ai mai kēia maʻi? (Outlook)

Nui aʻe nā koho lapaʻau no ka poʻe me ka ʻeha hope Vertebrogenic ma mua o ka wā ma mua. He mea maikaʻi kēlā. Eia nō naʻe, hiki ke lōʻihi ka manawa e loaʻa ai kahi hōʻailona kūpono . Eia kekahi, pono paha ʻoe e hoʻāʻo i kekahi mau lāʻau lapaʻau a hiki i kou loaʻa ʻana o ka mea kūpono. ʻAʻole paha ʻoe e loaʻa koke i ka lāʻau kūpono.

Ma ke ʻano helu helu, ʻo ka lāʻau lapaʻau holomua loa no kēia ʻeha hope (vertebrogenic) ʻo ia ke kaʻina hana a mākou i kūkākūkā ai ma mua (basivertebral nerve ablation) . Eia nō naʻe, inā makemake ʻoe e loaʻa kēia lāʻau lapaʻau ma o ka ʻinikua, pono paha ʻoe e hōʻoia mua ua hāʻule nā ​​​​lāʻau lapaʻau maʻamau ʻē aʻe (e like me nā painkiller, physical therapy). Hiki i kāu kauka ke kōkua iā ʻoe me kēia, a hiki iā ia ke aʻo iā ʻoe i nā ala e hōʻemi ai i ka ʻeha i ka wā o ka lāʻau lapaʻau.

Pehea ʻoe e pale ai i kēia mai ka hana ʻana? (Kāohi ʻana)

ʻOiai ʻo kēia ʻeha hope (vertebral) he ʻāpana kūlohelohe ia o ka ʻaʻahu a me ka waimaka o ko mākou kino, he paʻakikī ke pale loa iā ia . Eia nō naʻe, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ko mākou pilikia:

• E mālama i ke kaumaha olakino no kou kiʻekiʻe: Ke piʻi aʻe ke kaumaha o kou kino, piʻi aʻe ke kaomi ma kou kua.
• E hoʻoikaika kino mau: He mea nui loa ka hana ʻana i nā hoʻoikaika kino e hoʻoikaika ai i ke kino, ʻoiai nā mea a puni ke kua a me ka ʻōpū.
• E hoʻolōʻihi pinepine: Inā he hana kāu e koi ai iā ʻoe e noho ma kahi hoʻokahi no ka manawa lōʻihi, he mea maikaʻi ke ala aʻe a hoʻolōʻihi iki i kou kino, e neʻe ana a puni, ma ka liʻiliʻi hoʻokahi i ka hola.
• Mai puhipaka: Hiki i ka puhipaka ke hoʻopilikia i ke kaʻina hana ho'ōla o ke kino.

Āhea wau e ʻike ai i ke kauka?

Pono e emi iho ka ʻeha kua maʻamau i loko o kekahi mau lā a i ʻole hoʻokahi pule. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona , ​​​​pono ʻoe e ʻike koke i ke kauka :

• ʻO ka ʻeha kua i emi ʻole ma hope o ʻelua a ʻekolu paha pule.
• ʻO ke ʻeha kua i hala ʻole ma hope o ka lawe ʻana i ka lāʻau lapaʻau a i ʻole ka hoʻomaha ʻana.
• Inā manaʻo ʻoe e piʻi mālie ana ka ʻeha o kou kua.
• Inā ʻike ʻoe i nā hōʻailona e like me ke kani ʻana , ka ʻūlū ʻana , a i ʻole ka nāwaliwali ma kou mau lima a me kou mau wāwae.
• E kū i luna, inā manaʻo ʻoe he paʻakikī ka hele wāwae ʻana .
• Inā he mau hōʻailona ʻē aʻe kāu e like me ke kuni a me ka pohō kaumaha me ka ʻeha hope.

ʻO ka mea hope loa, ʻo ka mea nui loa (Leka Lawe-Home)

Hiki i ka ʻeha hope ke loaʻa ka hopena nui i ko kākou ola o kēlā me kēia lā. Hiki ke hoʻonāukiuki loa ʻaʻole wale i ka wā e hele ai i ka hana, hana i nā hana o ka hale, a pāʻani haʻuki paha, akā i ka wā e noho wale ana kākou. ʻOi loa aku i ka wā e loaʻa ai iā kākou ka ʻeha mau e like me kēia ʻaʻole e emi me nā lāʻau lapaʻau maʻamau, hiki ke hoʻoluhi nui ʻia a i kekahi manawa ʻaʻohe manaʻolana.

E hoʻomanaʻo: Inā loaʻa iā ʻoe kahi ʻeha ʻā a ʻūlū hoʻi ma waenakonu o kou kua, hiki paha iā ia ke Vertebrogenic Low Back Pain. No laila, mai makaʻu a hopohopo paha no ia mea, akā e kamaʻilio pono me ke kauka e ʻike pono i kāu mau hōʻailona a me ke ʻano o ka lāʻau lapaʻau maikaʻi loa. Inā hoʻomaka ʻoe i ka lāʻau lapaʻau kūpono i ka wā hikiwawe loa, hiki iā ʻoe ke hoʻopau i kēia ʻeha a hauʻoli hou i kāu hana!

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